The nurse is performing medication teaching for a client after surgery. The nurse explains that the client will go home on tramadol, a nonopioid analgesic, for pain management. The client states, "I can't take that, I'm allergic to NSAIDs."
How should the nurse respond?
1. "Tramadol is an NSAID that doesn't cause GI bleeds, so you should be OK."
2. "Are you sure? I don't see that allergy listed."
3. "Not all nonopioids are NSAIDs. Tramadol is not an NSAID."
4. "Then you will probably have to stay on a low dose of your opioid analgesic."
Correct Answer: 3
Rationale 1: Tramadol is not an NSAID. Also, not all clients are allergic to NSAIDs because of GI side effects.
Rationale 2: This does not answer the client's question or address the concern correctly.
Rationale 3: Not all nonopioids are NSAIDs. Tramadol is not an NSAID, and the client will be able to take the drug.
Rationale 4: Not all nonopioids are classified as NSAIDs. The client does not need to stay on an opioid.
Global Rationale: Not all nonopioids are NSAIDs. Tramadol is not an NSAID, and the client will be able to take the drug. Tramadol is not an NSAID. Also, not all clients are allergic to NSAIDs because of GI side effects. Asking the client if he/she is sure there is an allergy does not answer the client's question or address the concern correctly. Not all nonopioids are classified as NSAIDs. The client does not need to stay on an opioid.
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